Healthcare Provider Details

I. General information

NPI: 1073186276
Provider Name (Legal Business Name): BETTER & BRIGHTER HOME INCORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/23/2021
Last Update Date: 05/16/2025
Certification Date: 05/16/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5041A BACKLICK RD
ANNANDALE VA
22003-6046
US

IV. Provider business mailing address

5041A BACKLICK RD
ANNANDALE VA
22003-6046
US

V. Phone/Fax

Practice location:
  • Phone: 703-991-3103
  • Fax:
Mailing address:
  • Phone: 703-991-3103
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: KHADIJA LEIGH
Title or Position: DIRECTOR
Credential:
Phone: 703-991-3103